Your flexibility will insure that your child will be scheduled in a timely fashion.
On-going therapy needs are based on therapist’s recommendations.



Physicians frequently fax referrals following a patient appointment after discussing the recommendation with the parent. In this case there is no need to call the clinic as Elizabeth will call you to discuss insurance and schedule an appointment.


The intake process can be started by the parent via phone call, (360) 750-5850 or email, Due to insurance requirements a referral from the child’s PCP is required before an evaluation can be scheduled. You will be asked to request this from your child’s pediatrician, which he/she can then fax to our office, 

(360) 991-0011. Upon receipt of the referral Elizabeth will contact you to schedule the evaluation.




Early Choice Pediatric Therapy is contracted with and accepts most major insurance companies including the following: (If you do not see your company listed here, please check with your customer service representative and/or with Elizabeth. Insurance has become extremely complicated of late. Sometimes it’s difficult to know which company is primary when looking at an insurance card.)

That said, there are frequently many plans within these major networks. It is strongly suggested that you check with your customer service representative regarding your child’s benefits and to have the following questions answered:

  • Is Early Choice Pediatric Therapy / Elizabeth Lehl, OTL in network with this policy?

  • Is my child covered for out-patient Occupational Therapy?

  • How many visits is he/she allowed per year? Does this number include all therapies, i.e. OT, PT & ST?

  • What is my current deductible and how much of it has been met?

  • Will therapy service charges go to my deductible, or not?

  • How much is my co-pay/co-insurance?

  • If ECPT is NOT contracted, do you have out-of-network benefits? What are they as related to OT? (I.e., What percentage does the insurance pay for out-of-network providers?)

  • Is Pre-Certification required prior to beginning OT?

  • Are there any age specifications when provider requirements change? (For example: Pre-certification is not required until age 8, at which time the provider is required to…)

The following insurance providers are accepted: AETNA, Blue Cross Blue Shield, CIGNA, EBMS, Meritain, Providence, Regence, Tricare, United Health Care. ECPT does not currently accept State-based insurances, such as Molina and Coordinated Care.